This buffoon lowered my thyroid meds by 6 times w/ tsh level at 48. I lost all enegry, gained 20 pounds in 2 weeks, and this freaking guy said "oh I got to go by the book" then do was 202/107 and he didn't prescriptions after the pharmacy called 5 times for refill he said " we do get busy and forget sometimes" avoid this quack job if u want to live.